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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-06
FNAC and Cell Block Study in Thyroid Lesions
Dr. Gayathri Devi Thanigaimani, Preethi Murali
Published: June 28, 2016 | 92 96
DOI: 10.36347/sjams.2016.v04i06.042
Pages: 2070-2073
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Abstract
The aim of the study is to highlight the importance of cell-block study in combination with FNAC in the diagnosis of different thyroid lesions. This study was a retrospective study of 30 patients with thyroid swellings who came to cytopathology unit in SreeBalaji Medical College. FNAC and cell-blocks performed for each case was reviewed. Cytological results of FNAC were compared to the cell-block histopathological picture. FNAC findings were diagnosed as follows: 16 (61%) as colloid goiter, 4 (5.8%) as Hashimoto thyroiditis, 2 (5.8%) follicular neoplasm without atypia, 2 (2.3%) as follicular neoplasm with atypia, 2 (2.3%) as suspicious of malignancy, 3 (11.7%) papillary thyroid carcinoma, and 1 (1.1%) thyroid carcinoma of undefined category. Insufficient cases were 5 in number. The sensitivity of FNAC in comparison with histopathological results of cell-blocks was 91.6% and specificity was 97.2%.It is advised to perform cell-block for each case of FNAC of thyroid lesions to decrease the pitfalls and to improve the diagnosis and management of thyroid lesions.